The EBP process is to develop a question from the nursing practice problem of interest.
The first step of the EBP process is to develop a question from the nursing practice problem of interest.Select a practice problem of interest to use as the focus of your research.
Start with the patient and identify the clinical problems or issues that arise from clinical care.Following the PICOT format write a PICOT statement in your selected practice problem area of interest which is applicable to your proposed capstone project.The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.Suggestions for locating qualitative and quantitative research articles from credible sources:To narrow/broaden your search remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods.Prepare this assignment according to the guidelines found in the APA Style Guide located in the Student Success Center. An abstract is not required.P.S I already formulate the PICOT question and started on the paper. I just won’t have time to finish itP- Bedside report among nurses and patientI-Giving handoff in patients roomsC-Bedside shift report vs report at nurses stationO-To involve patient in their plan of care and to effectively provide patient with safe and quality of care.T-During patient stay in the hospital.Question what is the effect of bedside shift report on patient care compare to traditional report outside patient room?Laws D. & Amato S. (2010). Incorporating bedside reporting into change-of-shift report.Rehabilitation Nursing 35(2) 70-74. doi:10.1002/j2048-7940.2010.tb00034.xBackground: Conventionally patients and their family/caregivers were not involved in the process of change of shift report. In the past shift report has been held in each units conference room with all the nurses listening to report on every patient in the unit (Tidwell et al 2011 p. E2). Now days change of shift handoff is done in the patient room usually at the computer in front of the EMR. Bedside nursing report allows the patient and nurse the opportunity to share information ask questions and plan individualized interventions. Methods: implementation of moving changes od shift report to the bedside. Implementing the change of report started with a pre-implementation survey to all the nurses. Nurses were provided with survey question consisted 6 statement and they were asked to circle all the statement they found to be true (Laws & Amato 2010. p. 70-74). The questions were: (1) Bedside report can improve patient safety. (2) bedside report provides an opportunity for patient to discuss their plan of care (3) Bedside report violate patients confidentiality (4)Bedside report holds off going staff more accountable than taped report (5) Bedside report takes longer than taped report (6)Bedside report reassure patient that staff work as a team (Laws & Amato 2010 p. 72). After bedside report was initiated the result showed that most of the nurses felt that bedside report had improved patient safety and satisfaction (70%) and gives patient opportunity to discuss their plan (78%) (Laws & Amato 2010 p. 70-74). In addition it showed less issues with inaccurate or missing information because it includes actual patient visualization. Recommendation: the patient satisfaction was improved once reporting was done with the patient in the room. Moving the report to the bedside allows accurate information to be exchanged. It was found that bedside reporting works best at the start of the day and evening shift (Laws & Amato p. 73).
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